Body Jackets (Quiz 2) Flashcards
Orthotic Body Jacket
gradually supplanted plaster body casts due to improved hygiene, comfort, reduced weight
synthetic thermoplastic commonly used today
drawbacks to body jacket
increased perspiration
removable by wearer (cooperation needed)
Plastic Body Jackets
most effective non-invasive orthosis for triplanar gross motion control of thoracolumbar spine
kyphosis, AIS, neuromuscular scoliosis
Neuromuscular Scoliosis
general goal: comfortable, safe passive trunk support to increase independence and improve pulmonary status
muscular dystrophy, spinal muscular atrophy, poliomyelitis
post operative protection
to protect healing, with or without internal constructs
to reduce pain intensity during healing
inherently stable injuries
single column: single level fractures
single column: multiple level fractures
two column: certain single and multiple level burst fractures
Chance fractures
Chance Fracture
ligaments remain intact
flexion-distraction injury (lap belt)
usually upper lumbar spine
reduce thoracic kyphosis through hyperextension cast or TLSO in similar attitude
very good prognosis with conservative management
bivalve
rigid due to lateral overlap of anterior/posterior panels
mostly post op
anterior opening
often easiest to don/doff
extended period of time
posterior opening
provides best intra-cavitary pressure
idiopathic scoli